How to Bill L&I

Help L&I provide the necessary care for the injured worker and pay you promptly.

Make sure the required documentation (reports, chart notes, etc.) is faxed or mailed correctly. L&I may deny or reduce payment if the required documentation is not provided or the level or type of service does not match the procedure code billed.

To reduce your claim (bill) delays, follow the suggestions below:

Put the L&I claim number in the top right corner of every page of each document.

Use only plain, white paper and do not highlight, to assure clear imaging.

Sixty Day narrative - Support and document the need for continued care when conservative (nonsurgical) treatment is to continue beyond 60 days.

Every 60 days.

Special Reports/Follow-up Reports narrative To update L&I on the treatment and status of your patients.

As soon as possible following request by L&I or Self-Insurer.

Consultation Examination Reports narrative - Obtain an objective evaluation of the need for ongoing conservative medical management of the worker. The attending doctor may choose the consultant.

At 120 days.

Attending Doctor Review of IME Report letter - Obtain the attending doctor's opinion about the accuracy of the diagnoses and information provided based on the Independent Medical Exam (IME).

As soon as possible after receipt.

Time Loss Notification form (F242‑036‑555) - Certify the worker is off work and is eligible for time loss benefits.
To get form FAX the L&I warehouse at 360-902-4525 or email whse@lni.wa.gov.

As soon as possible after receipt.

Loss of Earning Power form (F242‑208‑000) - Certify the loss of earning power is due to the industrial injury/occupational disease.
To get form FAX the L&I warehouse at 360-902-4525 or email whse@lni.wa.gov.